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Organization

GENERIC RX LLC

Active
Other names
Generic Rx LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA IAGROSSI (OWNER)
(954) 420-5656
Entity
Organization

Contact information

Practice address
3448 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9419
(954) 420-5656
(954) 427-8566
Mailing address
3448 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9419
(954) 420-5656
(954) 427-8566

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 24161
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1047352
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/27/2009
Last updated
07/27/2009
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